Golden Lakes Medical Center, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GOLDEN LAKES MEDICAL CENTER, INC

Practice address

15485 Eagle Nest LN Ste 210
Miami Lakes, FL 33014-2222

Phone

(786) 456-4941

Fax

(786) 456-4942

NPI assigned

Sep 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Driggs

Title

Owner

Phone

(305) 904-0616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor L Matias, DC

  • Rehabilitation Chiropractor
  • Miami Lakes, FL
  • NPI 1891451563
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1992288427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 210",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142222",
            "telephone_number": "786-456-4941",
            "fax_number": "786-456-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 210",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142222",
            "telephone_number": "786-456-4941",
            "fax_number": "786-456-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LAKES MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "DRIGGS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-904-0616"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yurema Godoy Chill
• Goji Group LLC
• Golden Age MGT Services Inc
• Golden Group Home Health LLC
• Golden Kids Care Inc
• Golden Miracle, Inc
• Ube Gomez Cabrera
• Yuliet Gomez Elizagaray
• Aime Gomez Portales
• Geydi L Gomez Sarduy

• Physical Therapy Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.